GerberaDaisy

I just came back from a nursing convention, and there was a seminar on best practice for IV push meds. The presenter said that it is not necessary or safe to dilute IV meds, unless you are giving lorazepam, levothyroxine, protonix, famotidine or promethaxine. . But obviously you would want to follow your facility policy!

I have to ask why you would anticipate resistance to having a nurse come and give everyone a lunch break? Having a lunch relief nurse has worked out great every place I have ever experienced it! Working in California-they are often used to make sure nurse: patient ratios are maintained at all times.

THIS ^^ is good advice you have received here. hang in there.

Congratulations, Profp!

I haven't taken it yet, but am planning to this summer. Good luck, and please come back to let us know how you did! I would love to hear if your study techniques/resources were effective.

Just because you personally "disagree" with the need for pain medication while delivering a baby does not mean everyone else should not be able to access medically accepted treatment for pain. I hope you don't go around spouting your opinion off to your patients. I take methadone to manage a chronic pain problem ( I was injured while caring for patients) and I am tired of people who automatically think all methadone users are only taking it for drug maintenance. There is already this huge stigma attached to taking methadone, and opinions like yours simply add to its negative connotation. It is very tiring and is definitely not the attitude a compassionate nurse should have. Perhaps you have been caring for too many patients that have addiction issues and it is starting to cause some burnout. I don't know. But because I am on methadone and happened to be having a baby would you say you don't "believe" that I deserve pain medication because I also take methadone, so I must obviously be one of those people that thinks " nothing is ever going to hurt?" Cause let me tell you, I know pain, and having to adapt to chronic pain is one of the fastest ways to have a very clear understanding of the fact that stuff is going to hurt. Probably a lot and most of the time. You also say you can "lesson (sic) ...pain, but not take it away altogether" why would I believe that if I was your patient and you just told me that you don't believe having a baby warrants pain control for the vast majority of people?.

This is criminally negligent behavior on the part of the ortho surgeon. If I was your friend I would be contacting a lawyer and filing a malpractice claim.

But yes, I think there's a lot too much information revealed about this nurse, and too much blame affixed directly on her. i absolutely agree with what Ruby Vee has said. I find it sickening that this nurse's privacy and competence have been hung out to dry like this. Makes me very angry.

Not necessarily. I knew a nurse a few years back who traveled to another state for a new travel assignment. Her drug screen for the facility came up positive for THC, and they reported her the state board. She was not able to get a new license in that state. She was very lucky because the manager in the original state. took her back for another assignment with no questions asked.

There is one of these "super" nurses on the Y & R too!

Thank you for posting this NRSKaren! As a nurse who was originally educated in Canada ( in Ottawa, in fact!) I really enjoyed seeing it. I love reading about nursing history.

"Meaningful use" is related to the HITECH Act, which was part of the ARRA (American Recovery and a Reinvestment Act of 2009), and not the Affordable Care Act (Obamacare) which was signed by the president in 2010.

Hi NC29, just go to Google and type in "pain website", you will find many choices for patient and student education. And the term "pain website for nurses" should give you more nurse focused info.

Ok just reading through all of these now, and this one gave me shivers.

Yes, I had to do leech therapy at two different hospitals when I was a travel nurse. I worked on ortho/trauma floors. I really do not like bugs or, wiggly things, so it was really challenging for me to keep my "nurse" face on, especially when I had to apply the leeches. You really had to keep an eye on them, too, because they would sometimes " migrate" to other body parts that were not being treated.I will never forget the day I opened a container with a " fresh" leech inside and after I managed to pick it out of the water with the tweezers, it was wiggling all over the place. It was so active it actually wiggled right out of the tweezers before I could apply it and disappeared into the hospital's radiator system. I had a student nurse with me and won't forget the look on her face as she whispered to me, " what do we do now?" I was at a loss. I just really hoped that it didn't make it into another patients room. I